Provider Demographics
NPI:1821803669
Name:COBB, MORGAN H (LPC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:H
Last Name:COBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 CENTERBROOKE LANE
Mailing Address - Street 2:STE F #113
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8294
Mailing Address - Country:US
Mailing Address - Phone:910-612-1184
Mailing Address - Fax:
Practice Address - Street 1:2906 KIPPLING CT
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5558
Practice Address - Country:US
Practice Address - Phone:910-612-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional